| NPI | 1780621045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHAN J MILLER President 605-755-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-01-10 |